Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures.
Review patient records to ensure all necessary information is included for billing purposes.
Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
Follow up on unpaid claims and conduct medical collections as necessary.
Maintain accurate records of all billing transactions and communications with insurance companies and patients.
Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
Utilize medical office systems effectively to manage billing processes and maintain patient confidentiality.
Prepare for and respond to payer or government audits related to podiatry services.
Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
Support contract negotiations as necessary and manage appeals and denials specific to podiatry coverage.

Proven experience in medical billing, coding, or a related field, preferably in podiatry or a surgical specialty.
Strong knowledge of podiatry-related medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
Familiarity with medical records management and the healthcare reimbursement process.
Excellent attention to detail with strong organizational skills.
Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
Proficient in using medical office software, EHRs, and billing systems.
Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in podiatry coding are highly desirable.
Knowledge of HIPAA compliance, fraud prevention, and audit readiness.

Medical Biller & Coder – Podiatry

About this role